Laserfiche WebLink
,* s <br />UPS <br />f eceI /ED <br />L FEE" an REPORT REQUEST <br />/FEe a 1200 <br />PERMITTEE NAME: C?L' ukonen Bros. Stone Company Division of Kedamation, <br />I-2000-090 4'V Mining and Safety <br />PERMIT NO.: <br />OPERATION NAME: Lykins Gulch <br />ANNIVERSARY DATE: February 1, 2010 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Boulder <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to_date and during the preceding_year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous ear's may are necessary, then no new ma is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Michael Loukonen <br />Permittee Name: Loukonen Bros. Stone Company <br />Address: 12993 N. Foothills Hwy <br />Longmont, CO 80503 <br />Phone Number: (303) 823-6268 <br />Fax Number: (303) 823-0843 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />-0'?6 ?46Z/X= - <br />Signature of Corp ate Officer, Owner, or Designee <br />-0-7-10 <br />Date